Investigating the Impact of Acetabular Dysplasia on Sexual Dysfunction and Psychological Well-Being in Women

TL;DR

This study finds that acetabular dysplasia in women is linked to higher pain, anxiety, and sexual dysfunction, highlighting the need for targeted treatments.

Contribution

The study establishes a novel connection between acetabular dysplasia and sexual and psychological outcomes in women with pelvic pain.

Findings

AD-positive patients reported significantly higher pain and anxiety levels compared to AD-negative patients.

Sexual satisfaction and orgasmic function were notably impaired in the AD-positive group.

AD-positive patients showed limited hip rotation and higher rates of osteoarthritis and Legg–Calvé–Perthes disease.

Abstract

Background: This study aimed to explore the relationship between acetabular dysplasia (AD), a known risk factor for pelvic floor dysfunction (PFD), and its effects on sexual function and psychological well-being in women. Methods: A cross-sectional study was conducted with 125 female patients experiencing genitopelvic pain and penetrative disorders. Participants were categorized into AD-positive and AD-negative groups based on anteroposterior pelvic radiographs. Sexual function was evaluated using the Golombok–Rust Sexual Satisfaction Inventory (GRISS), while pain and psychological well-being were assessed using the Visual Analog Scale (VAS) and the Beck Depression Inventory (BDI), respectively. Results: Results showed that AD-positive patients had significantly higher pain (VAS: 8.15 ± 1.1, p < 0.001) and anxiety scores (BDI: 12.3 ± 11.0, p < 0.02). Sexual function was notably impaired in the AD-positive group, with lower sexual satisfaction and a higher prevalence of anorgasmia (p = 0.01). The AD-negative group demonstrated better scores in frequency and satisfaction with touch (p = 0.04, p = 0.03). Additionally, AD-positive patients exhibited limited hip rotation and a higher incidence of osteoarthritis and Legg–Calvé–Perthes disease. Conclusions: This study highlights the broader impact of AD on women’s quality of life, emphasizing the need for targeted therapeutic interventions to address sexual dysfunction and psychological distress in affected patients.

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